Gestational diabetes & diabetes in pregnancy

Early Pregnancy Central Obesity and Risk of Prenatal and Postpartum Diabetes and Hypertensive Disorders

Diabetes CarePublished Cohort study

Authors' conclusion

Early pregnancy central obesity measures may enhance perinatal cardiometabolic risk assessment, helping identify at-risk individuals who could be missed using BMI alone.

Study context

Population
Pregnant individuals with early pregnancy central obesity measures (waist circumference, waist-to-hip ratio, waist-to-height ratio, body roundness index)
Participants
3,055 individuals
Exposure
Early pregnancy central obesity measures, independently and jointly with BMI
Outcome
GDM, hypertensive disorders of pregnancy, postpartum prediabetes/diabetes, postpartum chronic hypertension
Methodological detailsModified Poisson (prenatal outcomes) and Cox (postpartum outcomes) regression
  • Modified Poisson (prenatal outcomes) and Cox (postpartum outcomes) regression

Main finding

As reported in the abstract

  • Dose-response relationship between increasing central obesity and all outcomes, even after adjusting for BMI

Observational data: associations, not effects.

Further findings

Central obesity among individuals with healthy prepregnancy BMI

Higher risk of GDM (relative risks)
1.92-2.42
Higher risk of postpartum prediabetes/diabetes (HRs)
1.50-2.16
Higher risk of postpartum chronic hypertension (HRs)
2.04-3.63

Original publication

Early Pregnancy Central Obesity and Risk of Prenatal and Postpartum Diabetes and Hypertensive Disorders. Diabetes Care. Published 13 April 2026. doi:10.2337/dc25-2812

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.